Daily Shelter Report Instructions.

1. General Information:
    a. Enter the date when the form is being completed.
    b. Consult with the sheltering lead to identify the DR Number and the Shelter Name/County.

2. Shelter Information:
    a. Enter the shelter address.
    b. Enter the phone number used to contact the shelter manager or his/her designee during the operation, most likely the cell phone assigned to the shelter for the operation.

3. Shelter Staff:
    a. Enter the name and phone number of the individuals in each of the listed positions.
    b. Enter the total number of Sheltering workers, including those listed in the Shelter Staff section
of this form. Example: if the shelter manager and night shift supervisor are listed by name, and there is also one daytime shelter worker and two nighttime shelter workers, the total count would be five (5).

4. Other Functions or Activities Staff:
    a. Enter the number of staff members working in the shelter assigned to other functions or activities.
    b. Enter a number for Feeding staff only if the workers in the feeding areas are assigned to the Feeding function. For example, if a Sheltering worker is in charge of the feeding area, they would be counted as a Sheltering worker. If a Feeding worker is assigned to lead the feeding area in the shelter, they would be counted as a Feeding worker.
    c. If other staff are working in the shelter, make a note in the Notes section of what work they were assigned to do in the shelter.

5. Shelter Population:
    a. Enter the number of individuals reported in the previous nights shelter count, broken down by age group. See Sheltering Standards and Procedures for more information.
    b. Enter the number of individuals in the shelter mid-day on the day of the report, broken down by
age group. See Sheltering Standards and Procedures for more information.
    c. Enter the total number of new registrations since the last report. This does not include clients
who registered on previous nights and are returning.

6. Operational Reporting:
For each item, enter:
The number used today (since the last report);
The quantity available for immediate use in the shelter tomorrow;
The total quantity needed for use in the shelter tomorrow (whether or not it is currently available
in the shelter).
    a. Snacks and drinks are counted as individual items. Example: a piece of fruit, a granola bar, a
bottle of water, and a soda are each counted, for a total of four (4) items.
    b. Examples of Other Bulk Items: gloves, rakes, shovels, and full cases of water that are received
at the shelter for distribution to clients.

7. Notes: enter high-level notes. Notes in this field do not replace notifications to the Sheltering lead.

8. Final Instructions:
    a. Enter the name of the individual preparing the report.
    b. Sign the report.
    c. Submit the report as instructed by the sheltering lead and according to the Job Tool: Operating a Shelter.

Back to links
    Daily Shelter Report                                                                                       
                                                                                                                                                                                   Form Info
  
Date     Incident/ DR #    Shelter Name/County  
SHELTER INFORMATION
  
Shelter Address  

Shelter Phone Number (s) 
SHELTERING STAFF
POSITION NAME PHONE
 Shelter Manager
 Day Shift Supervisor
 2nd Shift Supervisor
 Night Shift Supervisor
Total Number of Sheltering Workers 
Day Shift   2nd Shift   Night Shift  
OTHER FUNCTIONS OR ACTIVITIES STAFF
# Disaster Health Services   # Casework and Recover Planning  
# Disaster Mental Health   # Feeding  
# Disaster Spiritual Care   Other    #  
SHELTER POPULATION
Age Groups (years) 0-3 4-7 8-12 13-18 19-65 65 +
Nighttime Population Submitted Last Night
Daytime Population Today
Total NEW Shelter Dormitory Registrations Since Last Night:  
OPERATIONAL REPORTING
 Breakfast  Lunch   Dinner  Snacks/Drinks  Cots   Blankets  Comfort Kits  Clean-up Kits  Other Bulk Items   Signage Kits
# Used Today
# Available  Tomorrow
# Needed Tomorrow
NOTES
Preparer Name:     Preparer Signature:
               Adapted from National Mass Care Strategy          Ver 13.2
    DCS JT RES Daily Shelter Report V.1.0 2016.07.18